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CHAPTER 8 M ANAG I NG STRESS AND ANX I ETY LESSON 1 – EFFECTS OF STRESS 1. Define the term stress. • Reaction of the body/mind to everyday challenges and demands. 2. What is perception? Explain how stress is related to perception. • Perception – the act of becoming aware through the senses. • The stress you feel depends on your perception of the events that cause stress. LESSON 1 - CONTINUED 3. What is a stressor? • Anything that causes stress. 4. Identify the 5 general categories of stressors. Give an example of each. • Biological stressor (Illness, disability, or injury). • Environmental stressor (Poverty, pollution, crowding noise, or natural disaster). LESSON 1 - CONTINUED • Cognitive, or thinking stressors (the way you perceive a situation or how it affects the world around you). • Personal behavior stressors (negative reactions in body from using tobacco/alcohol/ drugs/lack of physical activity). • Life situation stressors (death of a pet, separation/divorce of parents, trouble with friends). LESSON 1 - CONTINUED 5. What 2 body systems does your body use to respond to stress? • Nervous system. • Endocrine system. 6. What is the “fight or flight” response”? • Body preparing to defend itself or flee. LESSON 1 - CONTINUED 7. List the 3 stages in the stress response. Describe what happens in each stage. • Stage 1 – Alarm – the body and mind go on high alert. • Stage 2 – Resistance – your body adapts to the rush created by alarm and reacts to the stressor. Body decides to "Fight or flight”. • Stage 3 – Fatigue – a tired feeling takes over that lowers your level of activity. Ability to manage other stressors is very low. LESSON 1 - CONTINUED 8. List 5 physical reactions included in the alarm response. • Increased perspiration. • Faster heart rate/pulse. • Rise in blood pressure/faster respiration rate. • Increased blood flow to the muscles/brain. • Pupil dilation. LESSON 1 - CONTINUED 9. What are the 3 types of fatigue that can affect your body? Describe how each type of fatigue occurs. Physical fatigue – occurs when muscles work for long periods of time. • Soreness and pain. • Reaction time becomes impaired. • Muscles tire quickly. LESSON 1 - CONTINUED Psychological fatigue - can result from: • Constant worry. • Overwork. • Depression. • Boredom / isolation. • Feeling overwhelmed. Pathological fatigue – tiredness brought on by overworking the body’s defenses in fighting disease. Anemia, flu, overweight, poor nutrition (can bring on pathological fatigue). LESSON 1 - CONTINUED 10. List the 3 aspects of a person’s life that can be affected by stress. Give an example of each effect. • Physical effects – headaches, asthma, high blood pressure, weakened immune system. Psychosomatic Response – physical reaction that results from stress rather than from an injury. https://www.youtube.com/watch?v=aLBhaYDAlU8 • Mental/emotional effects – difficulty concentrating, mood swings, risk of substance abuse. • Social effects – interference with daily activities and relationships with others. LESSON 1 - CONTINUED 11.Define the term chronic stress. Describe 2 methods you can use to control the effects of chronic stress. • Stress associated with long term problems that are beyond a person’s control. • Engage in physical activity. • Support from friends/family. • Relaxing hobby. • Avoid using tobacco, alcohol, and other drugs. LESSON 2 – MANAGING STRESS 1. List 3 categories of personal stressors. Give an example of each. • Life events – driver’s license, graduation, moving, addition of family members. Major illness, or parent’s divorce or separation. • Physical stressors – pollution, excessive noise, physical injury, lack of rest, drug use, and excessive dieting or exercise. • Daily hassles – time pressures, too many responsibilities, deadlines, and conflicts with fellow students. LESSON 2 - CONTINUED 2. How can using refusal skills help you to avoid stress? • Avoid stressful situations altogether, say no when you see the possibility of stress/conflict. 3. List 5 ways to manage stress. Then briefly explain how each method helps to manage stress. Plan ahead – • Decide what you want to accomplish. • Be prepared for unexpected changes. • Be flexible, have a plan B. LESSON 2 - CONTINUED Adequate sleep • Helps your ability to concentrate. Regular physical exercise – • Helps release pent up energy. Eat nutritious foods – • Eat a variety of foods. • Drink plenty of water. • Eat fresh foods whenever possible. Avoid tobacco, alcohol, and other drugs. LESSON 2 - CONTINUED 4. List 3 ways adequate sleep can help you. • Meet daily demands/challenges. • Look and feel better. • Better mood. 5. List 3 nutrition tips that will help you when you are dealing with stress. • Eat regular meals. • Limit “comfort” foods. • Limit caffeine. LESSON 2 - CONTINUED 6. Define the term stress-management skills. • Skills that help an individual handle stress in a healthful, effective way. 7. List 4 stress management skills. Explain how each skill can help you manage stress. • Redirect your energy – release nervous energy. • Relax and laugh – laughing lowers blood pressure. • Keep a positive outlook – how you think determines how you feel. • Seek out support – help you to feel better. LESSON 2 – CONTINUED 8. What is the relaxation response? • A state of calm that can be reached if one or more relaxation techniques are practiced regularly. LESSON 3 – ANXIETY AND TEEN DEPRESSION 1. What is anxiety? • The condition of feeling uneasy or worried about what may happen. 2. Does anxiety have positive or negative results? Explain. • Positive - it may keep you motivated. • Negative – can get in the way of your performance by making you nervous. LESSON 3 3. List 3 symptoms of anxiety. • Feelings of fear or dread. • Perspiration. • Rapid heart rate/shortness of breath. 4. List 3 ways to manage the occasional sad mood that lasts for a few days. • Exercise. • Talk to friends and family. • Do something nice for someone. LESSON 3 - CONTINUED 5. What is depression? • A prolonged feeling of helplessness and sadness. 6. What is the difference between reactive depression and major depression? • Reactive depression – response to a stressful event. • Major depression – a medical condition requiring treatment. LESSON 3 - CONTINUED 7. List 4 ways to overcome social anxiety. • Smile/nod/say HI to people. • Speak up and make eye contact. • Ask open-ended questions. • Know about current events/other areas of interest. LESSON 3 - CONTINUED 8. List 5 symptoms of teen depression. • Irritable or restless moods. • Withdrawal from friends and activities that were once important. • Change in appetite or weight. • Feelings of guilt or worthlessness. • Sense of hopelessness. LESSON 3 - CONTINUED 9. Are feelings of anxiety and depression normal? When do normal feelings become a cause for concern? • Yes, to experience a few of these symptoms once in a while. • No, to experience several of them at the same time for 2 weeks or more. 10.What are 3 ways that mild forms of anxiety and depressive feelings might be relieved? • Talking with supportive people. • Getting more physical activity. • Volunteer. LESSON 3 - CONTINUED 11.When should a person seek professional help with feelings of anxiety and depression? • When changes in mood, sleep patterns, or energy levels begin to interfere with daily life. LESSON 4 – BEING A RESILIENT TEEN 1. Define the term resiliency. • The ability to adapt effectively and recover from disappointment, difficulty, or crisis. 2. Explain why resiliency is a component of good mental health. • Able to handle adversity in healthful ways. • Achieve long-term success in spite of negative circumstances. LESSON - 4 3. List 4 external factors that might affect a person’s resiliency. • Family • School • Community • Peers LESSON 4 - CONTINUED 4. What makes up the internal factors that help you be more resilient. • Attitudes. • Perceptions. • Behaviors. • Commitment to learning. • Positive values. • Social competency. • Positive identity. LESSON 4 - CONTINUED 5. Can you control the external factors that influence your level of resiliency? Can you control the internal factors? Explain. • External factors – little control, but can work to strengthen some of them . • Internal factors – have control and can continue to strengthen can improve resiliency. LESSON – 4 CONTINUED 6. What are protective factors? • Conditions that shield individuals from the negative consequences of exposure to risk. 7. How can protective factors help guard a person from risk behaviors. • May influence a person to respond to a situation in a healthy way. LESSON 4 - CONTINUED 8. Give 8 examples of how a person can work to build protective factors and strengthen resiliency. • Extra-curricular activities at school. • Make a commitment to learning. • Stand up for your beliefs, refuse to act against your values. • Be honest with yourself and others. • Resist negative peer pressure. • Learn about people from other cultures or ethnic backgrounds. • Develop a sense of purpose. • Develop a positive outlook about your future.